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S M E A D
No.2.153LY
UPC 12934
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LOCATION_�7 � /� �{ SEWAGC # U 71�
VILLAGE�� /� ASSIsSSOR'S MAP6z LOT?t)e, '4 SQ
INSTALLER'S NAME & PHONE NO.�je �( � /
SEPTIC TANK CAPACITY tn'ta
LEACHING FACILITY:(Cype) v _ (size) 52 T ' A0
JJ
NO. OF BEDROOMS' PRIVA� oT3 WE L OR PUBLIC: WATEK
� ( '
BUILDEk OR OWNER�� IOW_-'OC46 (—
DATE PERMIT ISSUED:
: DATE COZIPLIANCE ISSUED: _
VARIANCE GRANTED: Yes No
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,� r �� .-Igo ��
No - ._.. / Fss.. �_.............
THE COMMONWEALTH OF MASSACHUSETT
BOARD F
..!............ ....................OF.......................................---.................-•----.......................
Appliration for Disposal Works Pustrudion rtrutit
Application is hereby made for a Permit to Construct ( ororr Repair ( } an Individual Sewage Disposal
Syst9m at:
"`. ? __y........�.1..� j fef/T-.ct/f ....... .......L Lw?� U l GL .. --...------....................----
W OX 0 LTd cation-Address or Lot No.
......................^--..........�... ............ ............. ........... ......... . *XA..�d.j.d.r.
...,
nstaller ess
� 9�J
Type of Building � ize Lot-------j..................Sq. ,et
U Dwelling—No. of Bedrooms ,.............................Expansion Attic (� Garbage Grinder
p, Other—Type of Building ..........�............... No. of persons............................ Showers ( ) — Cafeteria ( )
P4 Other res ............................ .
Design Flow........S.-5
......gallons per person pe day. Total daily�v-.•tom d . _:.________.._.....•--g�}lons.
WW -- . �f
Septic Tank—Liquid capacit�O.._...gallons Length_ _'•--...._.. Width..`��5._.... Diameter................ Depth-RI,
x Disposal Trench—No..................... Widt .............Total Length ....._ _......... Total leaching area...................sq. ft.
Seepage Pit No ..... .......
Diameter...... ........... Depth below inlet.._ ��.._..___._. Total leaching area._ ...sq. ft.
z Other Distribution box ( Dosing tank )
'~ Percolation Test Results Performed by.._�.�............. c....................................... Date.�� __ �L �'
,,JJ ..........
Test Pit No. 1................minutes per inch Depth of Test Pit...l_7.-_....... Depth to ground water... -p-•-----.
Lz., Test Pit No. 2.......Y.minutes per inch Depth of Test Pit...T-0.......... Depth to ground water....---------------
94 ...•••. ---------------••----..................---.......-•----•-•-----•--....------------------------.........--......---......---•---------------•----
0 Description of Soil........................................................................................................................................................................
x
•-------------------------------------•-----------------------------------•--------•-----------------•-------------••-------
._._....._..---------------•-•-•-----------•------------------•-------------
w
U Nature of Repairs or Alterations—Answer when applicable.............................•...............•..................................._._._...:__....
-•-----•----------------------------------•---•-----•--•--•-------------•--.....---•--........---•----......-----------------------.......-------•--......---------------------••••••--•--------•-_.....
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has beffi issued by the ar o h
Signed_ - ./ 1,
-- ..................... ........ .......... .
Application Approved By----- d . . .................. -•--._.... . ...
at
Application Disapproved for the following r ns:........................................................................................................ ..._---
...............•-•-••---•--•••••..............••••...............-----•-------••---.
Permit Issued........ 4.112.
-e Date
� -- �-
No.... 1�... ."� � � �l/(, /..�� Fes$....... �.............
THE COMMONWEALTH OF MASSACHUSETT
BO�eRD F .
. .....-•--•-...--.OF....: .: r!h......." :
Appliration for"Disposal park�orRejpair
nnstrurtinn Permit
Application is hereby made for a Permit to Construct ( ( ) an Individual Sewage Disposal
Sys at:
o �j� _ Lp�cation-Address or Lot No.
......................................t�-----� ---:....�.............-. _ ........................... -- .......Address-------•--.. ....
ef
W a
sale %/' *'.6ri
re sAType of Building ze Lot. ......................Sq. fe"
Dwelling—No. of Bedrooms._ ~_ ................Expansion Attic ( WGarbage Grinder '
Other—Type T e of Building ...........................p`"•, ypNo. of persons____________________________ Showers ( ) — Cafeteria ( )
Q, Other res ..-•••------••-•••-•......-
-. .� -----------------------•-•-----------------
WDesign Flow......._S...:............................gallons per person e day. Total daily w..` _ ............................ ,lons.
W Septic Tank—Liquid uid ca aci . � ._. `'' `
P q p e-• "-• gallons Length.:.:..:....... Width_.:_:_.._... Diameter---------------- Depth____..........
x Disposal Trench—No..................... Width,..........._._._..Total Length........___.. Total leaching area....................sq. ft.
�
Seepage Pit No,! �� _...... Diameter.... Depth below inlet.... .......... Total leaching area_A.6f��...sq. ft.
z Other Distribution box (uo� Dosing tank ( )
Percolation Test Results Performed by.. ...... ...............�.! .. P ° �
s Date.••- --- ----------. ---•----
,`4a Test Pit No. 1________________minutes per inch .Depth of Test Pit...eL_? _......_. Depth to ground water.__�'V_._......_.__.
(i, Test Pit No. 2_______1 ..minutes per inch Depth of Test Pit..XQ:.......... Depth to ground water..._...............
M
0 Description of Soil........................................................................................................................................................................
x
w
UNature of Repairs or Alterations—Answer when applicable...........................•.•............_..................................._................
-------------------------------------------------------------------------------------------------------•------------------------------------------------------------------------------•--•-•-•••..•••••
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be issued by the bboard of eal
Signed. "'-1�:. ;')
0 .../// Date
Application Approved By..... .. ,......1-• . .. r. . ... j
Application Disapproved for-Ihe following r as ns.__.....
..•••••....•--••••••••-•••---•••.......................•-••••--•-••••--••---•••-•-•-••----•---•-•--•••-•'-•••-•••...._......•--••••-•--•••-•••••••••--•••••...........---•-•---••--•••••••••....•--••---
a Date
Permit No._?. _....._7�� ._......... Issued...._..�� ................
THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD�OF HEALTH
..49W! 1.....................OF....../.`4!° t ��l` ./ ...................................
Trrtif irate of Tomplianrr
THI IS TO ER IF�"�tfthevidual wage Disposal System constructed r Repaired ( )
n
............f to •r `� -----•------------------------•---
by......... .
r
at... k_.......••• _1......................................................... ��--------•--.......----------•-•--------.....---------------...•................._..-
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as d cribed in the
application for Disposal Works Construction Permit No.._.. J f' _. dated_-... ..................
THE ISSUANCE OF THIS CERTIFICATE SHALL O'f BE Z(4'STRIIE® AS A A THAT THE
SYSTEM WILL FUNCTION TISFACTORY.
DATE... �� --•-•-----------•------- Inspector --._.Le � / .. .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.... .. i '✓ t/V/ {! ��'� V I A.L.-f FEE.......
No. 7 � .......
Dispoo Works nstr ion rrmi
Permission is hereby granted......_. ..' . ... ................. ��.
to Construct ( � or Repair ) n 1.ua rage sposal ystem
at No..... " ---•••.
as shown on the application for Disposal Works Con action Permit N .._ �*-- Dated_._.j ............
�f
rd of Health
DATE..... ��--•--------------
FORM 1255 A. M. SULKIN, INC., BOSTON
EL.= 38.5
TOP OF "LWA27ON \�
EL=39.6 co crow
GROUND EL.= 38 coNcju7w Co ymu EL.-
RISER
4' cAST �o41.0
�'7 EL=40.0
OR SC.FHDULN 40 1.2'Y.lB 1P YAX
PH VC 14 PER 4' SCHEDULE' �f0 P.Y. (ONLY)
PEA' —
PICTJY 1 4''PM? FT. LEACH PIT :=
PRECAST
Z
LCAC"G
OB
lO EL._ 9 INi�'RT INVA�?T A o ° A'pUIVALEIVT
s�rlc TANd 37.53 Dm. °
Rr 1000 GALLONS £L.= Box EL.- 37.3 v °°
EL.= 37.69 INr� DwxR p p ° s 4' m 1•
37. 48 EL.= 37 _ o° o °` isD sTb "
10' ,5' ° 31.2
Q EL=30 6—�
1 272
' PROFILE OF NO BOUM WA TABU
' SEWAGE DISPOSAL SYSTEM
- HSE
SOIL LOG NO SCALE WITNESSED BY:
DA TE_ 1 f21�89 NUMBER P—7451 Tom. OF BARNSTABLE HEAL M OMCER R. BARR Y
/• .. •• _-- __ ,�0� 5 WN WATER TEST HOLE �1 TEST ROLE �2 1/ J fNG/NE£R
' TO EL. 46.2 EL. 17.2
�P�� Oy� � _ . �5 ,0 8 T L o_ L DESIGN DATA:
�e�� �p �j 8 30 SUB1 3 SUB 3
PERC 36 NUMBER OF BEDROOMS
�J TOTAL ESTIMATED FLOW330 GPD
BOTTOM LEACHING AREA 50 S4. FT.
J 150 SIDE LEACHING AREA SQ. FT.
�6 ys• GARBAGE DISPOSAL NO NO 509 INCREASE
��' £ ; TOTAL LEACHING AREA 200 SO. FT.
J� OXIDE
PERCOLATION RATE LESS 2 M/N./IN,
p r 30 VED.SAND 3' 10 M SANDLEACHING AREA PER PERCOLATION RATE
NUMBER OF LEACHING PITS ONE
EL=27.2
i 0� NO H 0 CALCULATIONS = 3. 14 16 =50 1 =50 G.P.
° � i� �0 ,2 27T RH=6.28 4.6 =1 D 2.5 —37
_ �C� • 2 G� 5� ��, 7 TER ,ENCOUNTEREDPl2 TO TA = G.P D
WA T L 426
APPROVW..........................................BOARD OF HEALTH
W.
forDATE............................. ...
�O ... ............AGENT OR INSPECTOR
i �A 16 GENERAL NO ALL PIPE 4" SCH 40
� � �� ,• • • . . . . PVC--------------
THIN 5' O TER WI -
.�1 NOTE:. TOWN WA SEP77C IF - -------F DRIVE
7O-RE-fl- 0 LOADING
41 . . . /
15
PLAN
SITE OF LAND
IN CE N TER VIL 'L E
35
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GRAPHIC SCALE - 1 PROPOSED GRADES
0 10 20 40 80
YANKEK SURVEY CONSULTANTS
77 SPLIT FOUNDA TION BFT. & 4 FT.
143 ROUTE 149 P. 0. BOX 265
( IN FEET ) MARS TONS MILL S, MA SS. 02648
1 : inch _ 20 ft.
PLAN REF• 122197 »
FLOOD ZONE:•. C RES. . ZONE: »RC
JOB NUMBER 1849
41
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